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Provider Data Management Senior Analyst
UCLA
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Details

Posted: 02-Feb-25

Location: Los Angeles, California

Categories:

Operations

Internal Number: 146057159

Description

The Provider Data Management Senior Analyst will be responsible for processing, maintaining, and updating all aspects of the provider information database across all health plan products. You will:

  • Ensure the accuracy and integrity of practitioner information within the company’s provider data systems
  • Engage with both internal and external stakeholders through various communication channels to address inquiries related to practitioner information
  • Collect, monitor, and study business data via EPIC, MD Staff (provider enrollment and claim system) or other repositories
  • Create/pull reports that help mitigate regulatory risks, control costs, identify process breakdowns/issues, and ensure compliance with industry standards

Salary: $76,200-$158,800

Qualifications

  • A Bachelor’s degree or equivalent experience
  • 3-4 years of experience working in a Medicare Advantage health plan or Managed Care team - Claims, Provider Relations, Provider Contracting, Provider Network Management, highly desired
  • Strong skills of MS Excel and SQL to create and run complex SQL queries, required
  • Experience developing performance reports, required
  • Strong knowledge and prior experience using Word, PowerPoint, Visio and data visualization tools, required
  • Strong knowledge of the health care model, capitation and other managed care IPA and provider reimbursement methodologies
  • Previous experience working as a Business Analyst or Project Manager, preferred

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About UCLA
At UCLA Health, you can help heal humankind, one patient at a time by improving health, alleviating suffering and delivering acts of kindness. As you do, you’ll achieve great things in your life and your career. We’re a world-class health organization with four hospitals consistently recognized among the nation’s very best as well as an internationally-renowned medical school, primary and specialty care clinics and much more. Within our dynamic, innovative and growing organization, you’ll find exceptional opportunities to make the most of your abilities in a supportive, empowering and inclusive environment. If you embrace our values of Integrity, Compassion, Respect, Teamwork, Excellence and Discovery we invite you to see all you can accomplish at UCLA Health.
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